The early warning score of Ramathibodi Hospital in Thailand is based on the NEWS.
Parameters:
(1) respiratory rate in breaths per minute
(2) SpO2 in percent
(3) temperature °C
(4) systolic blood pressure in mm Hg
(5) heart rate in beats per minute
(6) AVPU
|
Parameter
|
Finding
|
Points
|
|
respiratory rate
|
<= 10 bpm
|
3
|
|
|
11 to 20 bpm
|
0
|
|
|
21 to 30 bpm
|
1
|
|
|
>= 31 bpm
|
2
|
|
SpO2
|
<= 84%
|
3
|
|
|
85 to 89%
|
2
|
|
|
90 to 92%
|
1
|
|
|
>= 93%
|
0
|
|
temperature
|
<= 33.9°C
|
3
|
|
|
34 to 34.9°C
|
2
|
|
|
35 to 35.9°C
|
1
|
|
|
36 to 37.9°C
|
0
|
|
|
38 to 38.9°C
|
1
|
|
|
>= 39°C
|
2
|
|
systolic blood pressure
|
<= 89 mm Hg
|
3
|
|
|
90 to 99 mm Hg
|
1
|
|
|
100 to 199 mm Hg
|
0
|
|
|
>= 200 mm Hg
|
2
|
|
heart rate
|
<= 39 bpm
|
3
|
|
|
40 to 49 bpm
|
1
|
|
|
50 to 99 bpm
|
0
|
|
|
100 to 109 bpm
|
1
|
|
|
110 to 129 bpm
|
2
|
|
|
>= 130 bpm
|
3
|
|
AVPU
|
alert
|
0
|
|
|
responds to voice
|
1
|
|
|
responds to pain
|
P
|
|
|
unresponsive
|
U
|
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 18
• A REWS >= 4 was associated with more serious disease.
